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1891242236
ROBERT PUCKETT
PORTLAND, OR
NPI
1891242236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 70245)
Enumeration Date
2016-09-01
Last Update Date
2019-06-09
Business Address
ROBERT PUCKETT MFT
2302 SE SALMON ST
PORTLAND, OR 97214-3944
Phone number: 323-217-3460
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Mailing Address
ROBERT PUCKETT MFT
1208 SE 23RD AVE
PORTLAND, OR 97214-3905
Phone number: 323-217-3460
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